11 results
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Flutter on EKG ... ) Atrial Flutter ... Flutter • Inferior ... #Flutter #aflutter ... #cardiology #clinical
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
Flutter • Rapid ... without typical ... CTI-independent flutter ... #Flutter #aflutter ... #cardiology #clinical
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
Typical (Counterclockwise ... ) Atrial Flutter ... on EKG • Inferior ... #Flutter #aflutter ... #cardiology #clinical
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
Reverse Typical ... (Clockwise) Atrial ... Flutter on EKG ... #Flutter #aflutter ... #cardiology #clinical
Counterclockwise and (Left) vs Clockwise (Right) Flutter
Typical atrial flutter is counterclockwise in direction and originates from
Clockwise (Right) Flutter ... Typical atrial ... flutter from the ... Atypical atrial ... #EKG #Cardiology
Causes of Tachycardia - Differential Diagnosis Algorithm
Narrow Complex - Regular:
 • Sinus tachycardia
 • Atrial flutter
Differential Diagnosis Algorithm ... flutter • AV ... fibrillation • Multifocal ... • Atrial flutter ... #Causes #cardiology
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
Differential Diagnosis Algorithm ... Tachycardia • Aflutter ... • AFib • AFIutter ... Conduction • Multifocal ... tachyarrhythmias #Cardiology
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
DANGER (4) Vfib/flutter ... flutter (3) ... absent P (2) A flutter ... block (3) Multifocal ... #EKG #diagnosis
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
flutter, ectopic ... Control rate (e.g ... flutter or MAT ... Treatment #management #cardiology ... #algorithm
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
EKG Interpretation ... (e.g. ectopic atrial ... P-Wave Morphology = multifocal ... Flutter PR Interval ... Electrocardiogram #cardiology